CMS Made Simple - FormBuilder Module Customization

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Please BID ONLY IF YOU HAVE EXPERIENCE WITH CMSMS (CMS Made Simple). I have two forms that I need help with customization and also css styling. The two forms should also be able to use the Database Disposition function to send result to the database for viewing in FormBrowser module.

The first one is a copy of this form: [url removed, login to view]

but with better CSS styling.

Click the first radio button (Recommend a specialist for me), you will see the Speciality dropdown below changed based on your choice. If you choose the option "I will choose my doctor", a dropdown with list of doctor will appear.

Choose a Speciality in the first dropdown and the list of doctor in that Speciality will appear on the Doctor's dropdown. When you choose a doctor name, the doctor profile and his schedule will appear below.

The Appointment time dropdown will be based on the doctor schedule. For example: Doctor John only practice on Mondays from 1300hrs to 1700hrs so you can only make appointment on a Monday between 1300-1500hrs or 1500hrs to 1700hrs.

The next one is an order form. It is similar to the first form but a simpler version. Please see attached document. This is the printed version of the form.

It has 3 radio button options. A, B & C

Option A will open a text input field just for quantity.

Option B will open two input fields for Medicine Name and Quantity. Need to have an option for user to add more rows.

Option C will open up two input fields in a row for Quantity and a dropdown of month or day

Please let me know your timeframe and a reasonable price for doing this. Thank you.

Skills: CMS, CSS, Javascript, MySQL, PHP

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About the Employer:
( 1 review ) Singapore, Singapore

Project ID: #4402911

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